ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC. – NPI #1154804243
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC. is a provider located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1154804243 to ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC. on September 13, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC.” is a dba name, the actual legal business name for this organization is EDLC, LLC. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 5 years ago on Sep 10, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC. below.

NPI Profile for
EDLC, LLC

NPI Number
1154804243
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDLC, LLC
Doing Business As (dba): ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC.
Primary location
7344 E DEER VALLEY RD STE 100
SCOTTSDALE, AZ 85255-7456
Phone: (480) 513-1042 Fax: (480) 513-1043
Mailing address
PO BOX 27973
SCOTTSDALE, AZ 85255-0149
Phone: Fax:
Organization Subpart
No
Authorized Official
REGINA FORD
PRACTICE MANAGER
Phone: (480) 513-1042
Updated
Certification Date
Sep 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.